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#IDtweetorial 67M in ICU (13d) for chronic resp failure s/p trach. Consult for 5d fevers & Q: WBC-tagged or PET/CT useful? WBC 17k, CMP wnl, BCx -, UCx <50k CFU
#idboardreview 50 M hx of renal transplant, lives on 🐎 farm presents with fever, cough, fatigue & wt loss. Diagnosis? #medEd #idmedEd #Rhodococcus equi (formerly Corynebacterium equi) is a gram+
Images of Infectious Diseases 70M with PMH of bladder cancer and a recent endovascular repair of saccular aortic aneurysm is now referred to your hospital because of FUO and this
Interesting case by our PGY3 resident Dr. Aaron Adler 18 y/o 👱🏼♀️w/ fever, watery diarrhea 💩, N/V 🤮 after recent 4-wk trip to Karachi, Pakistan First let’s look at how to
35F, 3 wks HA, paresthesias, ⬇️L hearing Lived in Indonesia+Philippines past yr LP: OP 25, 300 WBC (10%N, 60%L, 18%Eos), 5 RBC, prot 100 Altho any eos in CSF is
Ready for a #tweetorial? 68 yo man from Ecuador #COVID-19 positive, got tocilzumab and 3 courses of methylpred, HD12 became bacteremic with Strep constellatus and Citrorbacter freundii, HD 18 grew
Mini-review of three high yield NNRTI mutations! Continued learning from yesterday. #IDTwitter #MedTwitter #HIVTwitter 🧬🧬K103N🧬🧬 💠selected by efavirenz (EFV), nevirapine (NVP) 💠high resistance to EFV, NVP 💠low barrier 🧬🧬Y181C🧬🧬 💠selected
Mini-review of three high yield NRTI mutations from rounds today — Keep scrolling for more! 🧬🧬M184V🧬🧬 💠selected by Emtricitabine (FTC), Lamivudine (3TC) 💠High resistance to: FTC/3TC ⬇️viral fitness ⬆️susceptibility tenofovir
Thanks to Dan Kuritzkes+Suzanne McCluskey for talk on drug resistance today in the HIV core lecture series! @MGHBWHIDFellows #IDFellows @ID_fellows #IDTwitter To review high yield mutations, check these prior 🧵
85M with CAD s/p CABG and MM on daratumumab/dexNausea, vomiting, watery diarrhea 7x per day Alright #IDFellows, can you ID the organism? Hektoen plate below Photo cred: ASM https://www.asmscience.org/content/education/imagegallery/image.3276 Guess
